PLACENTA

CIRCUMVALLATE

Presentation By:
Abrigana Princess Star M.
Alcoberes Althea Nicole N.
 DEFINITION
Circumvallate placenta is a
rare condition that occurs
when the amnion and
chorion fetal membranes of
the placenta fold backward
around the edges of the
placenta.

portion of the placenta tends membranes often becomes
to become exposed
reduce size of the
chorionic plate
vaginal bleeding at this
site of exposure
PROM
PATHOPHYSIOLOGY
PLACENTAL CIRCUMVALLATE
impaired development of the
restrained fetus
marginal infarct due to unable to receive the possibility of pregnancy
vital materials that it needs complications, birth defects,
for proper development and/or death of the fetus
hemorrhage
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COMPLICATIONS ASSOCIATED
WITH CIRCUMVALLATE
PLACENTA INCLUDE:

Vaginal bleeding
Placental abruption: Premature
separation of the placenta, causing
significant third trimester bleeding
Intrauterine growth restriction of
the fetus
Miscarriage
Pre-term birth
Oligohydramnios
DIAGNOSTIC

TESTS
1. ) ULTRASOUND
NURSING MANAGEMENT
Self-Care Tips for Women with a Circumvallate

TREATMENT
Placenta
While this condition cannot be cured, the mum-to-be
can manage by following a good lifestyle with:

NO TREATMENT Adequate rest

low birth weight - monitor A good, healthy diet to prevent

growth check and/or NICU baby’s growth restriction
not growing fast enough -
Following doctor’s instructions
early delivery (emergency CS)
closely.
Hospital Bed Rest, Frequent
Monitoring, Early Delivery
Additional
Healthy Lifestyle Choice
 PROGNOSIS

Unfortunately, there is currently not a cure available for circumvallate placenta. While
some evidence suggests that a circumvallate placenta can increase the risk of
complication during pregnancy, other research suggests this increased risk is marginal.
Sadly, circumvallate placenta can occasionally result in infant death depending on the
severity of the complications encountered. In other cases, circumvallate placenta can
result in premature birth of infants who are otherwise healthy after being monitored in the
neonatal intensive care unit for a period of time after birth. Therefore, proper medical care
and monitoring are crucial in attempting to minimize the likelihood of complications.In
other cases, patients diagnosed with circumvallate placenta are able to carry their babies
until term or near-term.